Therapist Form
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Transcript of Therapist Form
7/23/2019 Therapist Form
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Bio-Medical Instruments Inc.2387 East Eight Mile Road
Warren, MI 480!-248"
#hone$ %8"-7%"-%070 &a'$ %8"-7%"-8!
Public Listing Information
Title ( Re)uired &ields
First Name
Middle
Last
Company Name
Address
Adress 2
City
State
Zip
Business Phone
Fax
Contact Methods Phone Email Fax
e!site
Practicin" Since
A#era"e cost per session $
Accept %nsurance& 'es No
%ntroduction Para"raph(
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Private Information (if different from public listing)
Title
First Name
Middle
Last
Address
Adress 2
City
State
Zip
Business Phone
Fax
MA)* ALL T+AT APPL' %T+ AN ,(
Academic LicensingBachelor o- Science in Education Certi.ed Clini
Bachelor o- Science in Nursin" Clinical Psych0octor o- Chiropractics Clinical Social
0octor o- 0ental Sur"ery Family and C
0octor o- Education Licensed Clini
0octor o- Medicine Licensed Clini
0octor o- 1ptometry Licensed ra
0octor o- 1steopathy Licensed %nde
0octor o- Philosophy Licensed Marr
0octor o- Psycholo"y 3Ph04 Licensed Marr
0octor o- Psycholo"y 3Psy04 Licensed Marr
0octor o- Science Licensed Men0octor o- Social or/ Licensed Men
Master o- Arts Licensed Pro-
Master o- Counselin" Licensed Psyc
Master o- Education Licensed Psyc
Master o- Science Licensed Sch
Master o- Science in Nursin" Licensed Soci
Master o- Science in Social or/ Marria"e and
Master o- Social Science Marria"e5 Fa
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Master o- Social or/ Psycholo"ical
Phd Candidate )e"istered %n
)e"istered Nurse Social or/er
A
Certication AAP
Academy o- Clinical Social or/ers Ame
Ad#anced Clinical Practitioner BC%
American Association -or Marria"e and Family Therapy BC%
American Association o- Pro-essional +ypnotherapists Clini
American Board o- Examiners in Clinical Social or/ Edu
American Board o- Family Psycholo"y %n +
American Board o- Medical Psychotherapy %SN
American Board o- Psycholo"ical +ypnosis )es
BC%A Certi.ed in Bio-eed!ac/
BC%A Certi.ed in Neuro-eed!ac/
BC%A6Certi.ed in Pel#ic Muscle 0ys-unction Bio-eed!ac/
Board Certi.ed 0iplomate in Clinical Social or/
Board Certi.ed in Child and Adolescent Psycholo"y
Board Certi.ed in Clinical Social or/
Certi.ed Alcohol and 0ru" Counselor
Certi.ed Clinical Mental +ealth Counselor
Certi.ed Family Nurse Practitioner
Certi.ed %ndependent Social or/er
Certi.ed Marria"e and Family Therapist
Clinical Specialist in Adult Psychiatric and Mental +ealth Nursin"
0iplomate5 American Academy o- Beha#ioral Medicine
0iplomate5 American Board o- Psychiatry and Neurolo"y
0iplomate5 %nternational Academy o- Beha#ioral Medicine5 Counselin" and Psycholo"y
0iplomate5 Neuropsychiatry
National Academy o- Mental +ealth Counselors
National Board o- Certi.ed Counselors
National Certi.ed Counselor
National )e"ister o- +ealth Ser#ices Pro#iders in Psycholo"y
7EE Technician
7EE60iplomate
)e"istered +ealth Care Pro#ider
ModalitiesEC
EE
EM
Er"onomics
S)
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+eart )ate
+eart )ate 8aria!ility
+E
%ncontinence
1ximetry
7ee"
)espirationStimulation
Temperature
Specialties %rrita!le Bo9e
Addiction *nee Pain
An"er Mana"ement Lo9er Bac/ P
Anxiety Mood 0isorde
Arthritis Myo-ascial Pai
Asper"ers Neuromuscul
Asthma Pain Mana"eAttention 0e.cit 0isorder:+yperacti#ity 0isorder Par/inson;s a
Autistic Spectrum 0isorders Pea/ Per-orm
Breathin" Pro!lems Phantom Lim
Chest pain Post Traumati
Chronic 0isease Mana"ement Posture )elat
Chronic Pain 7EE Assess
Closed +ead %n=ury )aynaud;s Sy
Conduct and Attachment 0isorders )eha!
Constipation Sleep 0isorde
0epression Smo/in" Ces0e#elopmental 0isorders Spinal Cord %n
0yspha"ia Stress Mana"
Epilepsy and Sei>ure Stress Mana"
Fecal %ncontinence Stump Pain
Fi!romyal"ia Su!stance A!
eriatric Temporoman
+eadaches Tinnitus
+ypertension Traumatic Bra
+yper#entilation ?rinary %ncon
%nterstitial Cystitis
Acceptance
% a"ree to allo9 Bio6medical %nstruments5 %nc@ to use the a!o#e in-ormation -or pu!lishin" ithe in-ormation a!o#e is true and accurate to the !est o- my /no9led"e@ Bio6medical %nstrincorrect or inaccurate in-ormation@ Please chec/ the !ox !elo9@ Than/ you@
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% a#e rea t e acceptance an a"ree@
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(
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Email the -orm alon" 9ith a lar"e ima"e o- yoursel-5your lo"o5 your practice or your sta to !rian!io6medical@com
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al Social or/er
lo"istor/er
ild Counselor
cal Psycholo"ist
cal Social or/er
uate Social or/er
pendent Clinical Social or/er
ia"e and Family Counselor
ia"e and Family Therapist
ia"e5 Family and Child Counselor
al +ealth Counseloral +ealth Ser#ices
ssional Counselor
holo"ical Associate
holo"ical Examiner
ol Psycholo"ist
l or/er
Family Counselor
ily and Child Therapist
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Associate
ependent Social or/er
liations
Mem!er
rican Nursin" Association
Certi.ed
Mentor
cal Super#ision 3remote trainin"4
ator
use Clinical Super#ision
Mem!er
archer
Equipment UsedAlpha Stim
Brainmaster
BrainDuiry
BrainTrain
Cy"net
0eymed
+eartmath
%8A
<
LENS
Mind Ali#e
Mitsar
Neuro"uide
Nexus
S*%L
Thou"ht Technolo"y
T18A
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l Syndrome
in
rs
n
r )eha!
ent d Mo#ement 0isorders
nce < Sports Applications
Pain
Stress 0isorder
d Pain
ent
drome
rs
ation=ury
ment
ment -or Children
use
i!ular 0isorder
in %n=ury
inence
a pu!lic online directory listin"@ All o-ments5 %nc assumes no responsi!ility -or
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